Organization Active NPI

Seets Surgical Assistant, LLC

  • Surgical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1659769610
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9106505 Issued in FL
Legal business name
SEETS SURGICAL ASSISTANT, LLC
Practice address
1001 37TH St N
Suite C
St Petersburg, FL 33713-6010
Phone
(727) 328-1001
Fax
(727) 327-0413
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachael Lee Seets, PA-C
Title
Managing Member
Phone
(727) 328-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA9106505 FL Primary

Addresses

Primary practice location

1001 37TH St N
Suite C
St Petersburg, FL 33713-6010

Mailing address

1001 37TH St N
Suite C
St Petersburg, FL 33713-6010
Phone (727) 328-1001

National Provider Directory

National Provider Directory

Locations

1001 37th St N
Ste C
St Petersburg, FL 33713
Phone (727) 321-9644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1659769610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 37TH ST N",
            "address_2": "SUITE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136010",
            "telephone_number": "727-328-1001",
            "fax_number": "727-327-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 37TH ST N",
            "address_2": "SUITE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136010",
            "telephone_number": "727-328-1001",
            "fax_number": "727-327-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEETS SURGICAL ASSISTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "SEETS",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-328-1001",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.